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Psychiatric Nursing – A Patient with Paranoid Schizophrenia

Psychiatric Nursing – A Patient with Paranoid Schizophrenia

Chapter One

introduction

This is a case study of a 32 year old man, Mr. U.E., who came into the Emergency Unit of the hospital on 22nd of August, 203, in the company of his brother. He was neatly dressed, except for his hair that was overgrown. He had no obvious deformity, presented with a history of keeping indoors, poor sleep at night, abandonment of his university education with no cogent reason, talking to self and accusing people of being against him and his family. He was calm, not in any obvious respiratory distress nor obvious body injury.

After assessment, the doctor who assessed him made a diagnosis of paranoid schizophrenia.

Paranoid Schizophrenia is a form of schizophrenia characterized by delusions of persecution or grandeur or jealousy. Symptoms may include anger, anxiety and hallucinations. The patient has the false belief (delusion) that a person or some individuals are plotting against them or members of their family.

He was well managed for the above diagnosis and his condition was found satisfactory. He was discharged home on the 17th of September, 2013. He was physically and psychologically cared for. He was well rehabilitated and due advice on discharge was given to him before he went home. He came back for check up and follow-up care on 30th September, 2013. The prognosis of his condition was good.

Significance of the Study

A study of paranoid schizophrenia, which is a sub-type of schizophrenia, will give us an in-depth knowledge concerning the condition, the causes, predisposing factors and all these will improve the quality of care given to patients with schizophrenia.

People that have individuals suffering from this condition will have a better understanding of the symptoms and the condition as a whole and this will aid in patient’s management at home.

Objective of the Study

The objectives of the study are to:

  • Discuss the etiology, symptomatology, treatment and complication of paranoid schizophrenia.
  • Describe the neuro-anatomy and neurophysiology of the affected organ (the brain).
  • Identify the role of psychiatric nurses in the case of a client with paranoid schizophrenia.

Chapter Five

Summary

Mr. U.E. a 32 year old undergraduate of Igbinedon University from Umuinde, Amata Mgbowo, Awgu Local Government Area of Enugu State presented to Federal Neuro-psychiatric Hospital on 22nd August, 2013 and was admitted same date in the male extension Ward 1 with a diagnosis of paranoid schizophrenia. His symptoms were marked by two years of abnormal behavior which include withdrawal, not sleeping at night, talking to self, accusing people of being against him, keeping indoors and abandonment of education.

Prompt medical treatment and proper nursing management were initated immediately.  Patient also benefited from individual and group psychotherapy and psycho education. Following the above management, Mr. U.E. responded positively to treatment and was discharged home.

Conclusion

This case study on Mr. U.E. with the diagnosis of paranoid schizophrenia has widen our knowledge of this condition, its clinical manifestation as well as treatment options that are available and thereby equipping us with the necessary skills required in the care of the patient with such conditions.

Implication for Nursing Practice

  • Health education of client, families and communities on early signs of mental illness and the need to seek prompt attention will help to achieve a better treatment outcome.
  • Nurses knowledge of drugs, their modes of action, dosages and most especially the extra pyramidal side effects will ensure that the nurse recognized early signs of extra pyramidal side effects when caring for his/her patient and take necessary action.
  • For nurses to be able to effectively and successfully manage cases of schizophrenia, they must have to equip themselves with knowledge of the aetiology, signs and symptoms, prevention and management of this condition, this will go a long way to assist them in early recognition and prompt treatment which is very important in the successful recovery of these patients.
  • Nurses should assist in reducing stigmatization and correct misconceptions in order to change people’s attitude towards the mentally ill.

Recommendations

  • Health researchers and non-governmental organizations should ensure that treatment research results are translated into practice in order to improve the quality of care provided for patient.
  • Government should enact law guiding stigmatization of a psychiatric patient to reduce social isolation.
  • There should be establishment of community health psychiatric centres in many communities for proper care of discharged patients and also take care of psychiatric emergencies before referral.
  • The religious leaders, community leaders and the entire populace should be involved in dispelling the common spells attached to psychiatry and mental illness.
  • Government should train and provide psychiatric personnel to man the psychiatric clinic.
  • Health personnel in the general health settings should make early referral of psychiatric cases to the psychiatric hospital for proper management by the medical practitioners.

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